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Organization
MAURICIO CHIROPRACTIC MELBOURNE LLC
Active
Organization
MAURICIO CHIROPRACTIC MELBOURNE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD S BIRD D.C. (OWNER)
(407) 381-0878
Entity
Organization
Contact information
Practice address
187 S WICKHAM RD STE 101, MELBOURNE, FL 32904-1123
(321) 372-5033
(321) 372-5034
Mailing address
12278 E COLONIAL DR STE 600H, ORLANDO, FL 32826-4724
(407) 381-0878
(407) 373-6046
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/14/2017
Last updated
10/19/2018
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